# WALGREEN CO.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WALGREENS BOOTS ALLIANCE INC
- **Other names:** WALGREENS \#09784
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871513051
- **Legal business name:** WALGREENS BOOTS ALLIANCE INC
- **Authorized official:** KIRA L TAYLOR (MANAGER)
- **Authorized official phone:** (217) 709-2351

## Contact information

- **Practice address:** 20 CONNECTICUT BLVD, EAST HARTFORD, CT 06108-3007
- **Practice address phone:** (860) 289-4944
- **Practice address fax:** (860) 289-3817
- **Mailing address:** 1901 E VOORHEES ST, MS \#790, DANVILLE, IL 61834-4509
- **Mailing address phone:** (217) 709-2351
- **Mailing address fax:** (217) 709-2344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | PCY.1465 | CT | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 10/30/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004125953 | — | CT |
| 05 | — | 004126711 DME | — | CT |
| 01 | — | 0714700 | NCPDP | — |